Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elicia Black, ATC

Individual provider Athletic Trainer · NPI 1639620347

Elicia Black, ATC is an Athletic Trainer in Missouri City, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2518 Valley Forest Dr
Missouri City, TX 77489-6005
Phone: (281) 299-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 7479 (TX)

Record details

NPI number1639620347
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 18, 2016
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024
Mailing address2518 Valley Forest Dr, Missouri City, TX 77489-6005

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